BRIDGING THE GAP WITH LIFE SKILLS
NPI 1659412997
Residential Treatment Facility, Emotionally Disturbed Children in Raleigh, NC

Active since February 09, 2007
2507 BLACKWOLF RUN LN, RALEIGH, NC 27604(919) 250-9546(919) 250-7569 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridging The Gap With Life Skills NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGING THE GAP WITH LIFE SKILLS (NPI 1659412997) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Raleigh, North Carolina and active in the NPI registry since February 2007. The organization lists Tammy Worthington, Quality Servies Director, as its authorized official.

NPPES Registry Identity

NPI1659412997
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameBRIDGING THE GAP WITH LIFE SKILLS
Location Address2507 BLACKWOLF RUN LNRaleigh, NC 27604-5425
Mailing Address204 N Person StRaleigh, NC 27601-1047 · (919) 833-2544 · Fax (919) 833-0939
Fax(919) 250-7569
Organization SubpartYesParent: Life Skills Counseling, Pllc
Authorized OfficialTammy WorthingtonQuality Servies Director · (919) 833-2544
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 20, 2007
NPI 1659412997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License Licensed in NC · MHL092571
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2507 BLACKWOLF RUN LN, Raleigh, NC 27604

Other Identifiers 1

Medicaid6604129NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridging The Gap With Life Skills's NPI number?

The NPI number for Bridging The Gap With Life Skills is 1659412997. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Bridging The Gap With Life Skills located?

Bridging The Gap With Life Skills is located at 2507 Blackwolf Run Ln, Raleigh, NC 27604. The listed phone number is (919) 250-9546.

What is Bridging The Gap With Life Skills's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Bridging The Gap With Life Skills was last updated on July 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.